|
KMID : 1130920100140020123
|
|
Journal of Korean Foot and Ankle Society
2010 Volume.14 No. 2 p.123 ~ p.129
|
|
|
Chronic Lateral Ankle Instability: Efficacy of Combination of Ankle Arthroscopic Exploration and Modified Brostrom Operation
|
|
Lee Kyung-Tai
Kim Jin-Su
Young Ki-Won
Park Young-Uk
Kim Jun-Beom
Kim Tae-Won
Cho Jae-Ho
|
|
|
Abstract
|
|
|
Purpose: To evaluate the efficacy of the arthroscopic exploration combined with modified Brostrom operation (MBO) for the treatment of chronic lateral ankle instability (CAI).
Materials and Methods: Sixty patients who diagnosed a CAI were performed MBO. We divided to 2 groups, whether simultaneously inspected by arthroscopy (group B) or not (group A). The both group’s results were compared according to American Orthopedic Foot and Ankle Society Ankle-hindfoot score (AOFAS), functional ankle score and visual analog scale (VAS) at preoperative and final follow-up period.
Results: There were no significant differences of AOFAS, functional ankle score and VAS between both groups at final follow-up. However, in group A, 2 cases associated with medial ankle instability and syndesmotic injuries were did not diagnosed preoperatively, showed poor prognosis. In group B, one case had a permanent peroneal nerve symptom. The match rate of intra-articular lesions between preoperative diagnosis and postoperative arthroscopic diagnosis was 30% in group B.
Conslusion: Combination of arthroscopic exploration and MBO is effective strategy for intra-operatively discrimination of intra-articular associated lesions for CAI.
|
|
|
KEYWORD
|
|
|
Ankle joint, Chronic lateral ankle instability, Modified Brostrom operation, Arthroscopy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|